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<br />-~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILlS <br />BUILDING DEPARTMENT <br /> <br />OWNER I S NAKE let? <br />I <br /> <br />OWNER I S ADDRESS J 9 7 J~ <br />. <br /> <br />,s~ /J.!0J1 <br />/ <br />/f1~~?e>od:? <br /> <br />PHONE ::phy. $>'6 <br /> <br />/-::> c~ <br />v <br /> <br />JOB ADDRESS ..f' ~ &,., <br />LEGAL DESCRIPTION: LOT(S) ? <br /> <br />BLOCIL--SDBDIVISION /J12:~6a/C7o/ <br /> <br />PARCEL 1.D.' ;J.;26 2./ /J/~ 00000 <br /> <br />uo70 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:..L..New Construction _Addition --Alteration _Repair _Install <br /> <br />_Sign <br /> <br />---.JIove <br /> <br />_Deaolish <br /> <br />nOPOSED~E: _SiqleF~i~ <br /> <br />_KIF <br /> <br />_' of Units _K/H <br />_Swia. Pool ~Other/c_t>2 ~6 <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Restaurant &: Health Departaent Approval <br />DESCRIPTION OF WORK: J2,~ /Y~.J? /%r:?c:::::? ~/k.. <br />BUILDING SIZE: ..)2 x)/--. /o'7.J Square Feet. rr'/ Height <br /> <br />d-/-/c/ ~~r <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORKS. <br />nOPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.8 en> . <br />,2c;O'O <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-1IECIfAI[[CAL <br /> <br />$ <br /> <br />Valuation of Mechanical Insta11ation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />~~-1,. <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />Yl' . <br /> <br />IS PROJEcr IN FLOOD ZONE AREA., <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRAcrOR SECTION <br /> <br />BUTI.DER <br /> <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration , <br />*** ************************************** <br /> <br />~ 14 Q>>W~ <br />~ State Cert. or Regist. , <br />- .. 't:l#lM ' ;>r\, City License Registration . <br />** *************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />I, ~ <br />COMPANY ~~ ' <br />State Cert. or Regist. ,,p(f.?7tZJpf-/ <br />City License Registration' Ax /~{l-t./ <br />****************************************** <br /> <br />Signature <br /> <br />=tu~-~<1t <br /> <br />APPLICATION APnOVED BY <br /> <br />PERMIT OFFICER. <br /> <br />.~1'I."I.ltM 1:;' Il r llo.noJl-n <br />